HomeMy WebLinkAboutLevian, Charles 4 4'' OIkPOGy
JUDITH T. TERRY %� `% Town Hall, 53095 Main Road
TOWN CLERK = i P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS Z. GI T Southold, New York 11971
MARRIAGE OFFICER � Fax (516) 765-1823
y0'`O .�0�-��4 Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 713 R. Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : FRED MILNER
Address 1 : BRAY AVENUE
City St Zip LAUREL NY 11948
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. DO NOT PLACE ANY CLOSER TO EXISTING WELL.
EXCAVATION INSPECTION REQUIRED. CALL THE BUILDING DEPARTMENT 765-1802
FOR AN APPOINTMENT.
Name Of Owner LEVIAN, CHARLES
Mailing Address 1 BEEBE DRIVE
City St Zip CUTCHOGUE NY 11935
Property Address 1 BEEBE DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97.00 block 7 lot 9.000
Cross Street ANTLER ROAD
Building Permit Number Cross Reference:
Issue Date: 5/16/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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4 MAY - 91991 ; -c `,e4-
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: v. Town Hall, 53095 Main Road
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_ t' P.O. Box 1179
0.( 4:t ." Southold, New York 11971
JUDITH T. TERRY 1.'•'""""4"1° TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 9, 1991
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A731 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
rr Fred Milner for CHARLES LEVIAN .
C4' arise review the application and location map and advise if this office may
C _'t
the permit.
�Q
PI ///QQ ,the
y form below and return it to this office.
Thank you.th c-•/O4
Linda J. ooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - p(
DISAPPROVE -nn ,�,pp n1, n
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Signature
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OFFICE OF THE TOWN CLERK ""tt.",
Town of Southold '``ICAtf1+u�
Judith T. Terry, Town Clerk Application No. 73`
Town Hall, 53095 Main Road ` ..G ' Construction
P. O. Box 1179 v Iiig
Alteration
Southold, New York 11971 s. ,_ ;IF
" $10.00 -Residential
Telephone 00) "�"� ''�
(516) 765 1801 1 4 ' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 6 ) D, oo
DATE v / / q I
APPLICANT NAME: —(- ll\,\11 _X--
APPLICANT ADDRESS: �r-e( IV)Q _
. 1,-,A4-f.\ All it9(),
SEPTIC CESSPOOL ?C
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: C \(lc,p S l-pV 1 k' \)
OWNER MAILING ADDRESS: -.3-e Q\pQ . "Os-- v c_. (uQ''5K
OWNER PROPERTY ADDRESS: eQ � Q_ tS'Je_ q) 14,)
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TELEPHONE NUMBER OF CONTACT PERSON: ! 31-1 - ,c7-/LI 73q--_,
TAX MAP NO. : Section 0 1 -7 Block Lot q -
CROSS STREET: -e 2.� -oi't' -\-- A-Y\-C\pr iRu
BUILDING PERMIT NUMBER CROSS REFERENCE: 19 604,
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Signature of Applicant
RECEIVED BY: b:Ili
���-�y
erk's Ofiece `
DATE: MAS Q 9 19°'I
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